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Daily Mobility Exercises by Dr. Kelly Starrett › Forums › Back › Inhibited Psoas in FAI?
I’ve been struggling with some hip problems for awhile that causes SI joint pain and some alignment issues everywhere from my knees to my thoracic spine. More or less, my hip doesn’t internally rotate correctly and my physician(s) recommended hip artho to fix the FAI in that hip. However, I’m not 100% convinced that surgery is the answer…yet.
Have you addressed the soft tissue around the hip?
What is hip flexion and ankle dorsiflexion like?
A few episodes which address the psoas.
Episode 26: Hips and Seppuku: Psoas and Hip Soft Tissue Mob
Psoas Flossing and Biker Hips | Episode 301
Pro User Request Friday: Runners & Psoas Nastiness
Bubo Barbell Pec/Psoas Smash Quicky or What to Do With Those Bent Barbells
Jill Miller Smashes Your Guts! (and psoas, and tacked down viscera, and matted down abdominals…) Part 2
Thanks, I’ll look into these!
Have you checked out episodes on hip impingement?
Or episodes on hip flexion?
Episode 87: Hip Impingement 2: Band Variation
Episode 144: Ze Hip Flexion
Episode 234: Improve Your Proximal Hip Mobility and Nerve Tunnels
Glute/ham interface may be in impacting factor
Tuesday, October 25th, 2016
Daniel,
Do you have imaging that confirmed you have FAI? If not, I’d check that box first.
If confirmed, I think you might do well to take a closer look at surgical intervention. The impingement caused by the acetabulum can cause a great deal of damage to the cartilage and the hip labrum. Though soft tissue mobility work and improving motor control can help, if there’s a problem with the architecture of the joint, there’s no exercise that will fix that.
Thanks for getting back to me!
Daniel,
Good to hear the MWOD recommendations are helping. Hang in there, stick with that daily mobility practice, and make sure you’re adding in a regular dose of hip strengthening work to minimize the aggravation in that hip joint!
Try getting adhesion removed from the posterior hip capsule and adductor magnus. These two structures affect hip flexion most directly.
Thanks everyone!
Are you working on stability in the hip?
Lateral leg raises
Medial leg raises
bent leg lateral raises
single leg tuck
single leg over hold 20 sec
I do some variation of these exercise regularly. The issue i face is – just like my core musculature – my glute (med) just turns off.
Thanks Daniel
Good to hear you are addressing the stabilization piece.
Many times cause of glutes shutting off is:
1. Pain
2. Position
3. Lack of use
Do you have pain?
Pain can cause the glutes to shut off which then causes greater instability which results in pain.
Position– Glutes span pelvis to femur so……….alignment of the pelvis and femur, therefore, affects the position,
length and tension of your gluteal muscles. If these muscles are not in
an ideal posture, their function will be compromised–sometimes to the
point that the muscles are not able to contract.
Anterior pelvic tilt over stretches the glute. There is a connection between this posture and muscle function called the Lower
Crossed Syndrome. The hip flexors and back extensors are
short and tight, while the abdominals and glutes are lengthened and
weak.
The glutes and hip flexors work in opposition. If the hip flexors are excessively tight, they may block the message from ever reaching the glutes leaving them inactive.
Thoughts?
Pain? Yes. SI / Lower back pain on one side. I also get a fair amount of discomfort and clicking inside my hip. I’ve read all about the typical crossed / APT / “desk bound” syndromes online but I’m not sure that applies to me. I’m more of a PPT and rounded shoulders guy!
It’s a system of systems.
Where you see the issue may not be where it originates.
Are you seeing improvements with what you are doing to address SI/lower back?
Not following what PPT is.
What is your trunk organization like?
Have you addressed your gait?
Have you addressed your psoas and/or hip flexors?
Have you addressed your hamstring?
Pro Episode # 21 – Pro-User Request Friday: Not Seeing The Change? You Need a Systems Approach.
ppt = posterior pelvic tilt
Posterior pelvic tilt disrupts the muscle balance in our body and can cause posture problems and back pain.
Are you correcting your gait?
Are you addressing your posture when sitting and standing?
These need to be corrected for lasting improvement.
Are you addressing your hamstring snapping around your knee?
There are several exercises and programs you can follow to strengthen the core. Using a variety of exercises is key to address different parts and the whole.
Gluteus Maximus is most likely tight.
Thanks again Kaitlin!
Have you worked with anyone to begin correcting your gait, improving mobility etc.?
Need to get started to begin to get the situation under control.
Hi Daniel, were you able to resolve your issue, i know these posts were from a while ago, but I am having the same exact problems and would love to hear what you have done since. thanks!